Bryan Mikael Johnson, PA-C - Medicare Physician Assistant in Fosston, MN

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Bryan Mikael Johnson, PA-C is a medicare enrolled "Physician Assistant" in Fosston, Minnesota. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Headwaters Health Pc, First Care Medical Services, Altru Health System, Lifecare Medical Center and his current practice location is 111 2nd St Ne, Fosston, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 435-1111.

Bryan Mikael Johnson is licensed to practice in Minnesota (license number 13648) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477106714.

Contact Information

Bryan Mikael Johnson, PA-C
111 2nd St Ne,
Fosston, MN 56542-1301
(218) 435-1111
(218) 435-1112

Map and Direction




Provider's Profile

Full NameBryan Mikael Johnson
GenderMale
SpecialityPhysician Assistant
Experience7 Years
Location111 2nd St Ne, Fosston, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bryan Mikael Johnson graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1477106714
  • Provider Enumeration Date: 07/16/2019
  • Last Update Date: 04/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9638400898
  • Enrollment ID: I20210517002409

Medical Identifiers

Medical identifiers for Bryan Mikael Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477106714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 13648 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lifecare Medical CenterRoseau, MNHospital
Essentia Health FosstonFosston, MNHospital
Sanford Medical Center Thief River FallsThief river falls, MNHospital
Altru HospitalGrand forks, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Headwaters Health Pc014371830410
First Care Medical Services367854284222
Altru Health System1355251604675
Lifecare Medical Center478958688455

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bryan Mikael Johnson allows following entities to bill medicare on his behalf.
Entity NameLifecare Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609861095
PECOS PAC ID: 4789586884
Enrollment ID: O20040121000061
Entity NameSanford Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699869875
PECOS PAC ID: 6800707100
Enrollment ID: O20040715001116
Entity NameLifecare Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1609861095
PECOS PAC ID: 4789586884
Enrollment ID: O20061104000664
Entity NameSanford Health Network North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386047355
PECOS PAC ID: 8022206663
Enrollment ID: O20180205002429
Entity NameHeadwaters Health PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821976903
PECOS PAC ID: 0143718304
Enrollment ID: O20251021002430

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan Mikael Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bryan Mikael Johnson, PA-C
111 2nd St Ne,
Fosston, MN 56542-1301

Ph: (218) 435-1111		Bryan Mikael Johnson, PA-C
111 2nd St Ne,
Fosston, MN 56542-1301

Ph: (218) 435-1111

Reviews and Comments


Physician Assistant Nurses in Fosston, MN

Corinne A Dargus, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 102 Sather Dr, Fosston, MN 56542
Phone: 218-435-1212    Fax: 218-435-1302
Mrs. Nicole Marie Kiesow, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 111 2nd St Ne, Fosston, MN 56542
Phone: 218-435-1111    Fax: 218-435-1112

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.